For times that include “seconds,” remove the seconds and record the time as is.

Example: 15:00:35 would be recorded as 15:00

If more than one Transfusion Start Time is documented, use the earliest time documented.

The medical record must be abstracted as documented (taken at “face value”). When the time documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.”

Example: Documentation indicates the Transfusion Start Time was 3300. Since the Transfusion Start Time is outside of the range in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.”

Note: Transmission of a case with an invalid time as described above will be rejected from the database. Use of “UTD” for Transfusion Start Time allows the case to be accepted into the database.

Suggested Data Sources:

Anesthesia record

Emergency department record

Nursing notes

Operative notes

Operative report

Blood administration form

Additional Notes:

Select the Transfusion Start Time associated with the Transfusion Start Date of the unit (bag) from the blood product event ID identified for abstraction.

Time must be recorded in military time format.
With the exception of Midnight and Noon:

If the time is in the a.m., conversion is not required

If the time is in the p.m., add 12 to the clock time hour.

The medical record must be abstracted as documented (taken at “face value”). When the time documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.”

Example:
Documentation indicates the Transfusion Start Time was 3300. Since the Transfusion Start Time is outside of the range in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.”